Knowledgeable authorizations specializing in Inpatient, out patient , surgery accounts and workers compensation. Pre Registration/ authorization skills over 18 years of related experience. Conscientious about completing all work within one day time frame. Meet needs with current, effective systems. Excellent decision-making and prioritization skills.
Overview
19
19
years of professional experience
Work History
Benefits Advisor
Havasu Regional Medical Center
Lake Havasu City, AZ
02.2005 - Current
Monitored daily workflow queues within the department ensuring all tasks are completed accurately and timely.
Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
Coordinated communication between providers, patients, payers, and other departments as needed.
Managed intake of new claims and performed routine follow-ups.
Maintained current knowledge of applicable regulations, laws, and standards.
Participated in new hire training and development tasks.
Contacted client references and employers to determine legitimacy of applicant information.
Assisted in the development of new processes and protocols to improve operational efficiency.
Researched patient eligibility, coverage information, and benefit levels.
Entered client information and files into databases for further review and tracking.
Ensured timely submission of accurate documentation to support payment of services rendered by providers.
Verified insurance authorizations with payers via telephone or web-based systems.
Reviewed accounts for signs of fraud and non-payment issues.
Explained eligibility details and affordability options to patients with kindness and respect.
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